Individual provider · Type 1 NPI

Cathleen Wallace

Addiction (Substance Use Disorder) Counselor · Bend, OR

NPI number 1215772371 Active

Practice location

920 SW Emkay Dr Ste 104
Bend, OR 97702-1043

Call (541) 383-0844 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-23-2723 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1215772371

Cathleen Wallace's National Provider Identifier is 1215772371, issued on Jun 28, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bend, OR. The record was last updated on Jun 28, 2024.